Memish Ziad A
Department of Medicine, King Fahad National Guard Hospital, Riyadh, Saudi Arabia.
Am J Infect Control. 2002 Feb;30(1):57-65. doi: 10.1067/mic.2002.120905.
Hospital-acquired infection poses significant clinical and economic burden worldwide. In the Kingdom of Saudi Arabia, infection control is a young, rapidly growing specialty. An infrastructure to expedite the growth of this important discipline is fast being established. The kingdom faces unique challenges when addressing infection control, which are the subject of this review. Much of the policy-making in domestic infection control is driven by the preventive medicine concerns of the annual pilgrimage (Hajj) to Mecca, which are unparalleled. The Saudi Ministry of Health acts to contain and control public health risks at this gathering of 2 million. Infectious hazards at the Hajj include meningococcal meningitis, respiratory tract infections, bloodborne diseases, and zoonotic diseases, all of which have international ramifications as pilgrimaging Muslims return home. In the wake of the extraordinary pace of modernization in Saudi Arabia, deficiencies in infection control remain, which are slowly being redressed. This review examines the anatomy of infection control and its evolution in the kingdom. Future goals and infection control policy-making are given particular emphasis. Saudi Arabia seeks increasing international partnership in the area of infection control and preventive medicine. The Saudi health care system was formed on the basis of Western models to resounding success. Saudi Arabia is now in a position to provide experience and knowledge in return. International dialogue in the infection control arena is of mutual value. Important public health progress is afoot in this young kingdom, and these advances translate both regionally and on the international platform.
医院获得性感染在全球范围内造成了重大的临床和经济负担。在沙特阿拉伯王国,感染控制是一个年轻且迅速发展的专业领域。加速这一重要学科发展的基础设施正在迅速建立。沙特王国在应对感染控制方面面临着独特的挑战,这些挑战是本综述的主题。国内感染控制的许多政策制定是由每年前往麦加朝圣(朝觐)的预防医学问题驱动的,这种情况是独一无二的。沙特卫生部在这个有200万人参加的集会中采取行动,遏制和控制公共卫生风险。朝觐期间的感染危害包括脑膜炎球菌性脑膜炎、呼吸道感染、血源性疾病和人畜共患病,所有这些在朝圣的穆斯林回国后都产生了国际影响。在沙特阿拉伯现代化进程异常迅速的情况下,感染控制方面的不足仍然存在,这些不足正在慢慢得到纠正。本综述审视了沙特王国感染控制的体系结构及其演变。特别强调了未来目标和感染控制政策制定。沙特阿拉伯在感染控制和预防医学领域寻求加强国际伙伴关系。沙特医疗保健系统是在西方模式的基础上建立起来的,并取得了巨大成功。沙特阿拉伯现在有能力回报经验和知识。感染控制领域的国际对话具有互利价值。在这个年轻的王国,重要的公共卫生进展正在取得,这些进展在区域和国际平台上都有体现。